SPIKES protocol

Topic: Fundamentals

A six-step structure for breaking bad news: Setting (privacy, time, family if wished), Perception (what the client already understands), Invitation (how much they want to know), Knowledge (give information clearly, in small parts), Emotions (respond with empathy), and Strategy and summary (agree on next steps). The physician usually discloses the diagnosis; the nurse prepares the setting, stays and supports the client and family afterwards.

Also known as:
Breaking bad news

What does SPIKES protocol mean?

SPIKES protocol is part of the Fundamentals topic in nursing. Students meet it in class, on clinical placements and while preparing for exams.

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